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Nebraska rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.60 / $760.00 / $760.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.60 / $501.60 / $501.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.18 / $1,153.63 / $2,249.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.60 / $1,155.20 / $1,246.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.50 / $1,091.86 / $1,725.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $902.88 / $3,610.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $456.00 / $1,520.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.75 / $1,389.85 / $1,700.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.75 / $1,656.17 / $1,983.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.60 / $319.20 / $456.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.20 / $456.00 / $836.00